Fasano Associates Inc

What Fasano Associates Inc does

Fasano Associates, Inc. is a privately held professional services firm that provides physician peer-reviewed life expectancy underwriting and consultative medical director services to the life and health insurance, life settlement, structured settlement, and broader financial services industries. Founded in 1998 by Mike Fasano and headquartered in Rockville, Maryland, the company operates as a subsidiary of Longevity Holdings and is led by Mike Fasano as President. Its customer base spans life settlement investors, life and health insurance companies, structured settlement providers, banks and investment funds, and third-party administrators.

The company's core offering is life expectancy estimation grounded in a proprietary methodology combining physician medical file review with unique mortality tables that adjust the slope of the survival curve from convex to concave as impairment levels increase. Fasano maintains a proprietary database of approximately 200,000 lives underwritten between 2001 and 2023, with Actual-to-Expected accuracy of 97%, 102%, and 101% across trailing 13.5, 10.5, and 5.5 year periods respectively, as validated by multiple independent actuarial consulting firms. The product portfolio includes core life settlement underwriting, the ALEC (Automated Life Expectancy Calculator) self-service screening tool, outsourced Medical Director services (EKG interpretation, claims adjudication, underwriter training), turn-key and contract underwriting for life and health, annuity and structured settlement underwriting, expert witness services, portfolio consulting and audits, and customized life expectancy reports with individual mortality distributions.

Fasano generates revenue primarily through per-case professional services fees for life expectancy underwriting, supplemented by licensing of its mortality database, Medical Director retainer arrangements, conference registration ($495 early bird rate for the annual Fasano Longevity Conference), and portfolio consulting mandates. Distribution is direct enterprise sales to insurance carriers and institutional investors, supported by memberships in BVZL, ELSA, ILMA, and LISA industry associations. The company does not disclose revenue, has not raised institutional funding, and operates exclusively in the United States, with the workforce comprised of 18 Physician Medical Directors and 14 Senior Level Underwriters (including 2 RNs) alongside the small core administrative team indicated in firmographic data — a mix implying significant contractor or fractional engagement versus full-time headcount.

Name

Fasano Associates Inc

Legal name

Fasano Associates, Inc.

Website

https://fasanoassociates.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Short description

Fasano Associates provides physician peer-reviewed life expectancy underwriting to life settlement investors, life and health insurers, and structured settlement providers. Built on a proprietary 200,000-life mortality database and outsourced Medical Director services, the firm serves as a Longevity Holdings subsidiary headquartered in Rockville, MD.

Ownership category

akta.pro rank

Product category

Life Expectancy Underwriting Services

NAICS

Portfolio Management and Investment Advice (52394)

SIC

Insurance Agents, Brokers & Service (6411), Services-Engineering, Accounting, Research, Management (8700)

akta.pro primary industry

Life & Health Reinsurance Underwriting, Actuarial & Risk Analytics Services (FSAOAAAI)

akta.pro secondary industry

Annuity & Insurance-Based Retirement Solutions Advisory (FSAEABAH)

Keywords

• Life expectancy underwriting
• Mortality risk assessment
• Life settlement underwriting
• Medical director services
• Annuity underwriting

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Life Expectancy Underwriting Services: Professional underwriting services for life settlements, including mortality profile reports and life expectancy estimates based on medical records review by physicians.
2. Consultative Medical Director Services: Providing part or full-time Medical Directors, EKG interpretation, claims adjudication consults, and underwriter training to insurance companies.
3. Database and Mortality Table Licensing: Licensing of proprietary mortality database and tables developed from over 200,000 lives underwritten. Multiple independent actuarial consulting firms have examined life expectancy estimates.
4. Customized Life Expectancy Reports: Customized reports including individual mortality distributions, forward contingent life expectancy estimates, and impairment category rankings.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels4 records

Core offering

Fasano Associates provides physician peer-reviewed life expectancy underwriting services for life and health insurance, life settlements, annuities, and structured settlements. Underwriters and 18 Physician Medical Directors review medical records (including M.I.B. codes, Attending Physician Statements, and labs) to produce life expectancy estimates grounded in proprietary mortality tables built from approximately 200,000 underwritten lives. The firm also offers standalone products such as ALEC (Automated Life Expectancy Calculator) for self-service case valuation and customized mortality distribution reports.

Product overview

Fasano Associates Inc offers a comprehensive suite of life expectancy underwriting products and services built around a proprietary physician-reviewed methodology and mortality tables. The core offering is Life Settlement Underwriting producing life expectancy estimates with documented 101% Actual to Expected accuracy. Supporting services include ALEC (a self-service screening calculator), Medical Director Services, Turn-key and Contract Underwriting, Life & Health Underwriting, Annuity Underwriting, Expert Witness Services, and Portfolio Consulting. Enhanced services include Customized Life Expectancy Reports with individual mortality distributions. The company operates under Longevity Holdings and is celebrating 25 years of expertise in 2026.

Differentiator

Problem solved

Functional benefit

Brands

• ALEC (Automated Life Expectancy Calculator): An online screening tool designed for life settlement acquisitions and financial planning applications. A user-friendly tool that does not require assistance from underwriters or other professionals to complete. Not a replacement for full underwriting but provides an inexpensive way to assess case value with good risk discrimination.

Products and services

• Life Settlement Underwriting Physician-reviewed medical file analysis producing life expectancy estimates for life settlement investments, with 101% Actual-to-Expected accuracy validated by independent actuarial studies.
• ALEC (Automated Life Expectancy Calculator) Self-service screening tool for life settlement acquisitions and financial planning that does not require underwriter involvement, providing inexpensive case-value assessment with good risk discrimination.
• Life, Health and SPIA Underwriting Contract and consultative underwriting services for the life and health insurance industry, including SPIAs, delivered by former senior underwriters from major insurers.
• Consultative Medical Director Services Part- or full-time Medical Director services, EKG interpretation, claims adjudication consults, and underwriter training serving as a cost-effective alternative to in-house medical directors.
• Expert Witness Services Medical Director and Senior Underwriter litigation support combining writing company and consultative experience to serve as expert witnesses.
• Portfolio Consulting and Audits Case and portfolio consulting and audit services for primary and secondary life markets, including Fair Market Value assessments and identification of misleading or fraudulent health data.
• Customized Life Expectancy Reports Customized life expectancy reports featuring individual mortality distributions, forward-contingent estimates, impairment category delineation, and ranking of impairment importance.

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered minor and core.

• BVZLminorOthersIndustry membership organization. Fasano Associates is listed as a proud member of BVZL.
• ELSA (Executive Life Insurance Settlements Association)minorOthersIndustry membership organization. Fasano Associates is listed as a proud member of ELSA.
• ILMA (Insurance Law Management Association)minorOthersIndustry membership organization. Fasano Associates is listed as a proud member of ILMA.
• LISA (Life Insurance Settlement Association)minorOthersIndustry membership organization. Fasano Associates is listed as a proud member of LISA.
• Longevity HoldingscoreOthersParent company. Fasano Underwriting is described as 'a Longevity Holdings company'.

Scale indicators6 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• 21st Services: A direct competitor in life expectancy underwriting for the life settlement market, offering physician-reviewed LE estimates and life settlement underwriting services that compete head-to-head with Fasano's core offering.
• American Valuation Services (AVS): Specialist in life expectancy underwriting and fair market value assessments for life settlements; directly comparable in target customer (life settlement investors) and core methodology (physician-reviewed LE estimates).
• ISC Services: Provides life expectancy underwriting services for the life settlement and structured settlement markets, competing with Fasano for impaired-life and substandard-case underwriting mandates.

Broad incumbents

• Milliman: Global actuarial and consulting firm that produces life expectancy estimates and longevity analytics for insurers and reinsurers; a broader incumbent with overlapping actuarial and mortality-table capabilities that can compete on enterprise mandates.
• ExamOne (Quest Diagnostics): A large, established insurance risk assessment services provider (paramedical exams, lab data, underwriting support) that serves similar insurance carrier customers with broader underwriting workflow services, overlapping with Fasano on underwriting data and medical record handling.
• Hannover Re: Global reinsurer with life and health underwriting capabilities; represents another large incumbent capable of internalizing the life expectancy underwriting work that Fasano performs for third-party buyers.
• Munich Re (Life Reinsurance): Major global life reinsurer that performs in-house mortality risk assessment and LE underwriting at scale; represents a potential in-housing threat and a comparable source of life/health underwriting expertise.
• RGA (Reinsurance Group of America): Leading life reinsurer with substantial in-house underwriting, mortality analytics, and impaired-life expertise; an incumbent whose scale and automation could pressure specialist LE underwriters on large deals.
• EMSI (Examination Management Services): Provider of insurance underwriting support services including paramedical exams and medical record retrieval; competes more broadly in the carrier underwriting services market where Fasano also operates.
• Swiss Re: Major global reinsurer with life and health underwriting, mortality research, and longevity analytics; competes with Fasano indirectly through in-house capabilities and customer-side mandates.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/fasano-associates-washington-d.c.

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fasano Associates Inc